{"title":"Management of a severe Class III malocclusion with extreme dentoalveolar compensations.","authors":"Karan Nehra, Vineet Sharma, Rajat Mitra","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This case report describes the treatment of a 21-year-old woman with a severe Class III malocclusion, 9-mm anterior crossbite, extremely proclined maxillary anterior incisors associated with decreased buccolingual alveolar width, and a malformed supernumerary tooth. The treatment plan included fixed appliances to align and level the teeth, en masse retraction of maxillary anterior incisors after a labial and palatal corticotomy using temporary anchorage devices, high Le Fort I maxillary osteotomy for maxillary advancement, and bilateral sagittal split osteotomy for mandibular setback. Ideal overjet and overbite relationships were established, and the final esthetic result was pleasing. Occlusal stability was excellent in the 1-year follow-up.</p>","PeriodicalId":89450,"journal":{"name":"Orthodontics : the art and practice of dentofacial enhancement","volume":"13 1","pages":"e82-93"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30601789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kristina G Dragstrem, Judy Chia-Chun Yuan, Damian J Lee, Cortino Sukotjo, Maria Therese Galang
{"title":"Gender equality in orthodontic literature and leadership in the United States.","authors":"Kristina G Dragstrem, Judy Chia-Chun Yuan, Damian J Lee, Cortino Sukotjo, Maria Therese Galang","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The objective of this study was to evaluate gender equality in orthodontics by reviewing the authorship in three orthodontic journals in addition to the involvement of women in leadership roles within orthodontic organizations and academia in the United States. Three journals representing orthodontics were selected to analyze the author demographics for the years 1986, 1990, 1995, 2000, 2005, and 2008. Inclusion criteria were at least one first or last author with a dental degree whose primary affiliation was in the United States. Female leadership was assessed in three orthodontic organizations as well as orthodontic program directorship. Overall, the percentage of female first authors increased significantly from 0% to 18% in the years studied (P = .004). The change of the percentage of female last authors was not statistically significant (P = .719). The participation of women in leadership roles within orthodontic organizations and in orthodontic program director positions has been limited. Within the limitations of this study, it was concluded that women are underrepresented in orthodontic authorship and leadership.</p>","PeriodicalId":89450,"journal":{"name":"Orthodontics : the art and practice of dentofacial enhancement","volume":"13 1","pages":"176-83"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30602023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Women in orthodontics--100 years to reach the top.","authors":"Alena Pacheco","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":89450,"journal":{"name":"Orthodontics : the art and practice of dentofacial enhancement","volume":"13 1","pages":"8-11"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30602152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Asymmetric Class III dentofacial deformities--widening the horizon.","authors":"Tulika Tripathi, Dhirendra Srivastava, Priyank Rai, Harpreet Singh","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article presents insight into the different types of asymmetrical Class III dentofacial deformities, their diagnoses, and the treatment modalities adopted by orthodontists and maxillofacial surgeons. In diagnosing facial and dental asymmetries, a thorough clinical examination and radiographic survey are necessary to determine the extent of the soft tissue, skeletal, dental, and functional involvement. The management of three cases of asymmetrical Class III dentofacial deformities is described. The optimal esthetic results and functional outcomes in the cases outlined were achieved by vertical and anteroposterior reduction with rotation of the mandible in conjunction with meticulously planned pre- and postsurgical orthodontic treatment. When choosing a surgical technique for correction of the problem, the structures involved in the asymmetry, the magnitude of asymmetry, and the patient's concerns and expectations must be taken into consideration.</p>","PeriodicalId":89450,"journal":{"name":"Orthodontics : the art and practice of dentofacial enhancement","volume":"13 1","pages":"e162-80"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30602373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Transmigration of impacted mandibular canines and its association with malocclusion and morphology: an analysis of seven cases.","authors":"Anup Holla, Mansoor Saify, Sandeep Parashar","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Aim: </strong>To investigate the morphologic parameters associated with cases of transmigrating mandibular canines.</p><p><strong>Methods: </strong>The orthodontic records of 3,500 patients were examined for the presence of transmigrating mandibular canines. Lateral cephalograms and study casts were analyzed for skeletal and dental parameters. Observations were made as to the sex and age of the subject, and side, location, and type of migration were recorded from the panoramic radiograph.</p><p><strong>Results: </strong>Seven cases were found to be associated with transmigrating mandibular canines. These included four females and three males between the ages of 14 and 21 years. All canines were unilateral, with three each of type 1 and type 2 and one type 4 case. Retained primary canines and second molars were observed in four cases. Two cases were associated with hypodontia and palatally displaced maxillary canines. Six cases had Class II malocclusions, with 5 cases having deep bite (> 40%) and a deep curve of Spee. Five cases showed increased lower anterior facial height and excess tooth material.</p><p><strong>Conclusion: </strong>Dental Class II malocclusion with deep bite, deep curve of Spee, excess tooth material, and increased lower anterior facial height indicating an increase in space available apical to the mandibular incisors (resulting in a loss of canine guidance) may be predisposing factors in the etiology of the transmigrating canine.</p>","PeriodicalId":89450,"journal":{"name":"Orthodontics : the art and practice of dentofacial enhancement","volume":"13 1","pages":"156-65"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30603673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Take it up a notch.","authors":"Rafi Romano","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":89450,"journal":{"name":"Orthodontics : the art and practice of dentofacial enhancement","volume":"13 1","pages":"7"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30602151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rohit C L Sachdeva, Sharan L T Aranha, Michael E Egan, Harold T Gross, Nikita S Sachdeva, G Frans Currier, Onur Kadioglu
{"title":"Treatment time: SureSmile vs conventional.","authors":"Rohit C L Sachdeva, Sharan L T Aranha, Michael E Egan, Harold T Gross, Nikita S Sachdeva, G Frans Currier, Onur Kadioglu","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Aim: </strong>To understand the efficiency of SureSmile treatment vs conventional treatment.</p><p><strong>Methods: </strong>First, 12,335 completed patient histories representing different treatment philosophies and geographically diverse practices were collected. Included were 9,390 SureSmile patients and 2,945 conventional patients. Variables in these patient records included: (1) treatment time, months from bonding to debonding; (2) malocclusion class, Angle Class I, II, or III; (3) patient age, adolescents (< 18 years) or adults (≥ 18 years); and (4) patient visits, total number of treatment visits. Nonparametric regression tests were used to analyze the data.</p><p><strong>Results: </strong>The median treatment time for the SureSmile patient pool (15 months) was 8 months shorter than that of the conventional patient pool (23 months). The median care cycle length of Class II SureSmile patients (13 months) was 2 months shorter than that of Class I SureSmile patients (15 months) and 3 months shorter than that of Class III SureSmile patients (16 months). SureSmile patients (14 visits) had four fewer median treatment visits than conventional patients (18 visits). All results were significant at P = .001. No significant differences were noted between the median care cycle lengths of adolescents and adults.</p><p><strong>Conclusion: </strong>This study found that SureSmile treatment facilitates more timely care than conventional treatment. Further prospective studies are required to elucidate the effectiveness of SureSmile treatment.</p>","PeriodicalId":89450,"journal":{"name":"Orthodontics : the art and practice of dentofacial enhancement","volume":"13 1","pages":"72-85"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30602159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Patient pain experience after placement of initial aligning archwire using active and passive self-ligating bracket systems: a randomized clinical trial.","authors":"Sarvraj Singh Kohli, Virinder Singh Kohli","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Aim: </strong>To test whether there is any difference in pain perception during the week following placement of initial aligning archwire in active and passive self-ligating bracket systems.</p><p><strong>Methods: </strong>Seventy patients (mean age ± SD, 16.1 ± 2.3 years; 35 males and 35 females) were enrolled in this prospective randomized clinical trial. After appliance placement and engagement of a 0.016-inch round martensitic nickel-titanium (Ni-Ti) alloy archwire, pain levels were recorded after 4 hours; at bed time on the day of the appointment; after 24 hours; and after 2, 3, 4, 5, 6, and 7 days using a nine-page visual analog system (VAS) questionnaire. The use of pain medication self-administered by the patient was also recorded. Independent sample t tests were used to analyze normally distributed data obtained from VAS measurements.</p><p><strong>Results: </strong>Sixty (85.71%) patients completed the trial. The type of self-ligating bracket had a significant influence on the pain experienced at 4 hours (P = .03), bed time (P = .05), 24 hours (P = .04), and 2 days (P = .05) after placement of initial aligning archwire.</p><p><strong>Conclusion: </strong>The type of self-ligating bracket system had a significant difference on subjective pain experience after placement of the initial aligning archwire. Patients treated with active self-ligating appliances experience significantly higher pain levels until the second day compared with patients treated with passive self-ligating appliances.</p>","PeriodicalId":89450,"journal":{"name":"Orthodontics : the art and practice of dentofacial enhancement","volume":"13 1","pages":"e58-65"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30601786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The route from Detroit.","authors":"Carla A Evans","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":89450,"journal":{"name":"Orthodontics : the art and practice of dentofacial enhancement","volume":"13 1","pages":"238"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30601909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Orthodontic extrusion for a preprosthetic approach: a bracketless mini-implant-based mechanics.","authors":"Mario Greco, Nicola Derton","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Aim: </strong>To propose a new mini-implant-based mechanics for the orthodontic extrusion of fractured posterior teeth.</p><p><strong>Methods: </strong>An innovative biomechanical bracketless system was used to gain vertical movement of fractured maxillary molars with three-dimensional control to meet preprosthetic objectives. Two slotted-head mini-implants were inserted between the roots of the canine and premolars. A sectional TMA wire was passively adapted to the mini-implant positions and connected to the first molar by a crossing crown hole. The extrusion movement was achieved in two phases. In the first phase, a vertical spring loop was formed in the sectional wire for initial pure vertical movement. Next, a horizontal spring loop was modeled to improve the proper spatial position of the molar.</p><p><strong>Conclusion: </strong>The extrusion movement and stabilization were achieved without patient compliance. The maxillary molar was extruded about 3 mm, allowing exposure of the most apical border of the fracture, giving the prosthodontist the proper clinical conditions for ideal restoration of the tooth.</p>","PeriodicalId":89450,"journal":{"name":"Orthodontics : the art and practice of dentofacial enhancement","volume":"13 1","pages":"210-5"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30602027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}